DAWN M CARLSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

DAWN M

Last Name

CARLSON

Business Name

DAWN M CARLSON

Original Issue Date

03/29/1988

Effective Date

09/24/2020

Expiration Date

07/31/2023

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023